1136 Westbury Cir UA,CTiVATED FOR BASEMENT fif) e`- Y-,. .
5/86 . CITY QF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21•199, Esgan, MN 56121
PHONE: 454-8100
6UILDING 'ERMIT Receipt ~qF
To M wW fa Est. Voiue Date 19
Site Addres: Erect ? Occupancv
. Remodel ? 2oning
Lot Block SeclSub. Repair ? Type of Const.
Pwcel No. Addition ? No. Stories
Move ? Lsngth •
~ Name Demolish ? Depth
Addrats Int Impr. ? Sq. Ft.
City Phone Install ?
~ e APProvols fees
N~
~u A~~i Assassment Permit
~ City Phone Woter 3 Sew. Surcherge
P Polite Plsn Review
~ Neme Fin SAC
Addresi Enp. Water Conn.
~ W City Phone Plonnwr Water Meter
Council Road Unit
1 hertby ocknowledqe thot 1 how rood this applicotion ond srote that Bldg. Off. ' Tr. PI.
tM inlormotion is torrect and cgree fo comply with oll applicoble A~ Parka
Stoh of Minnesota Stotutes and Cify of Eoyan Ordinonus.
Var. Date ~p~~
5ipnoture of Pertniftes Total
A Bulldinq P*rtnit is issued to: an tM -xprm candifion ehoi
dl worlc aholl be dorw in accordonu with all applicablv Stote o# Minnesota Statutes and Gty ot Eopcn Ordinonces.
8uildirq Official
Pwmit No. Pwmh Noldw Daa TNephons *
PlumWnp 50 L)
H.VA.C.
EMetric ~ Y
J &
~r U ?1f ~ ,r- , -
I flt{IeCLIOfI DaLe lflfp. OthM
Footlngs I t~
Footings II
Foundstion /.r S Lv•~ J~ih+ -`Y-~ Fr Aa
Framin9 ~
RooHnp
tz)
Rouyh Plbg.
Rough Htq.
InsuL ~
Firoplaco
-
HDIsp. - ~ ~ Desaibe Locatijhp
J'~ 1 G1,~~ •!'~t ~~~L ~4
.
CITY OF EAGAN "
454-8100 DEPT. OF BUILDING INSPECTIONS _
Correction Notice
Located at 0 ~ ~ ~-'r
, ~
.I have this day inspected this structure and
these premises and have found the following
violations of ci~ codes governing same:
1-/ p ~ ~f
~
,
L,C r z i~+'L ::;e-,i
~f~/ t11._i s
When corrections have been made, please
~ call 454-81 QO for inspection.
Date - ,
;
Inspector City of Eagan
DO NOT REMOVE THIS TAG
Receipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN Fm
Fill rn numbered spaces S/C
s Type or Print legibly
Tot
1. Date _2.~ I `tallation Cost
fJ
3. Job Address Lot_~____Blk. -.2-1 Tract
4. Owner
B. Contractor Phone
6. Address
7. City State ZiP
~ S. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt i ~ PLUMBINC, PERMIT Permit No,
' CITY OF EAGAN
~ Fee
. ' Y F Fill in numbered spaces S/C
E= Type or Print legibly
Tot.
~ t. Date 2, Installation Cost
~r 3. Job Address Lot Blk. - Tract
4. Owner
5. Contractor Phone
6
~ 6. Address
f- 7. City State Zip ,
~
B. SuiVding Type: Residentiai ? Commerciai ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ? '
10. Describe 11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield '
' Bath tubs Septic Tank
Lavatory Softnef
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
~
i
'r
i 12. I hereby certify that ihe above information is true and correci, and I agree to
comply with all ordinances and codes governing this type of work.
i
Signed : for
Rough Final
Inspections: Date lnsQ. 4ate tnsp.
This is your permit when numbered and approved.
Approved CI7Y OF EAGAN 454-$100
1
Rowipt MECHANICAL PERMIT Ps?mit No.
CITY OF EAGAN
FN
J 1 r" f; Pi/I in numbemd spaca S/C
t~ Type w Prin[ Jeg~My
Tot
1. Oate ~.2. Inatallation Cott •
3. Job Addreu -3(r 01,41), Lot Blk. { 'tract
4. Owner '
5. Contractor Phone
B. Address
7. City State Zip
8. Building Type: Residential 13 Commercial D Institutional ?
9. Work Description: New ? Add ? Alter O Repair ? 10. Describe Fuel Type
11. No, Equinment BTU - M. Ea. No. Eauiament CFM
Forcxd Air Air Handling:
~Mfg.
Boi lers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
` Gas, Piping Outleu
~
4
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough f iqal
Inspections: Date Insp. Date f/1Z nsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
CITY OF EAGAN Remarks
Addition WESTBURY THIRD ADDN . tot 7 -atik 2 Parcel 10 $3652 070 02
Owner Street 1136 Westbury Circle gtate Eagan, MN 55123 _
Improvement Date Amount Annuai Years Payment Receipt Date
S7REET SUFiF,
57REET RESTOR.
GRADING
SAN SEW TRUNK 1985 G' i 17. OO 15 Ir C 0 a y
SEWER LATERAL
watermain B69 19 4 3 .33 15 Co /V
WATERMAIN le 19 33.86- 2.26 15
WATER LATERAL
WATER AREA goz 1984 L 134•24 • 95 1 D, Golll v~
water area 1986 9•3 4.63 15 G. C'C' / / / o F '
STORM SEW TRK 19 3 • z$ 73.66 5 ,(~,3 e01 i 40
STORMSEW LAT ~ 1986 491.0 9.20
5 y.Y v C49111 YJ
CURB & GUTTER
SIDEWAt1C
STREET LIGHT
WATER CONN. n n 500-00
BUILDING PER. n rr
tr
SAC 995-00
PARK
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fsa
Fill in numbsred spacea S/C
ry~ or Pr;.,r iegiay ToL
1. Qate ~ S 2. Inatallation Cost
3. Job Address •f ~a~ - Lot 1 Bik. Tract - -
h
4. Owner u~~~ tL'~A l S ~.i r<
b. Contractor '•~~-~1 l _ ~ ` ~ i ~ ~ Phune
~
6. Addrass
7. CitY ~i State ~ 2ip
8. Building Type: Residentiarb Commercial ? Institutianal ?
9. Wark Description: New~ltl Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
r -
Water Closet CoupoollDrainfield
~ Bath tuha
Septic Tank
Lavatory Softner
~ Shower
Well
~ Kitchen Sink
Urinal/Bidet Other
l Laundry Tray
i Floor Drains
_ Drinking Ftn.
Slop Sink
~ Gas Piping Outlats
12. I hereby certify that the above information is true and correct, and I agree to
comply with #11 ordinances antkcodes governing this type of work.
J/
Signed : ~'t.. ' ~for
' Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approvetl CITY OF EAtiAN 464-8100
Reaipt MECHANICAL PERMIT - Permit No. ~
CITY OF EAGAN Fe!
I .
'14 Fill in nuinbsmd apacst S/C
Type or Afinr legib/y
Tot 7o. l,
1. Data 2. Installaiion Cost
r
3. Job Address 'c. Lot J Blk. C Tract
4. Ownar v S. Contrsctor d. r , ; ic c ~-t- • ~ I1- Phone
. ~ .
S. nadreu 64
7. CitY State ti 1C-~ Zip
8. Building Type: Residential JR Commercial ? Institutional O
9. Work Description: New; 8f Add ? Alter ? Repair ?
10. Describe Fuel Type
,
~
11. No. Fquinment BTU - M. Ea. No, Equipment CFM
~ Forced Air"`< Air Handling:
Mfg.
Boilera Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that tfie above information is true and correct, and I agree to
aomply wiitt all ordinances and codes governing this type of work.
Signed: t`x ~ for
~ Rouph Pinal
' Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
f;X`° "1~~~ lr-r5-65
A 079700
flequest Date Fim No_ poupRm I~cpepion
NequGred? 10/deadY NwvWil! Noiify. insPec-
/ ,~Yes ?No or When ReaAY
y?~ Liceiu^al Electriral Canvar.lor 1 Asaby requesi impection of aboVe
.L7~ott"If!" aNetriml ~uk i'arelled et:
Stree[ Add~, eos or ppute Na. CitY
/3c~ L./e57~if_. 5a~.
twn Twn~ship Name or No. Range No. Cou/n~ty ~ f
Occupant INT~~ / Mone No.
wae~
EtecVical C/onvactw ICOnWt%v Namel Contracior's Licrnse No.
Vwh~`'
Nailinp AddrGSS (Cwtbactw n Ouwner Ma4inp Imdilatim)
~ LvQlo'?
AufIoraed Si a/ kinp Insbllatianl . Phone Number
~ /~-7
YINM60/A STAlE 9MltO OP ElEC761CT/ TMWS INSPECTIOW NC-0VEST NILL NOT
Grims-YidreY ~dB- - Maom N-191 - 0E ACGEP7E0 BY 1HE STATE BOARD
i@7 Uniwsiry Ara.. SL Paul. YM 59104 UIYLESS PpOPFA INSIECTON f'£E IS
PM~r (6121 ~2777 ENCLOSED.
/ 5 J ~nuESr FoR aECr~caL In~cnoro ES-~,_~,
~ ~ , See imM1Uetims for coepbli,q fAis iarm m back of yeltow copv- .
""X" Belav Werk Cov`ered Gy This Nequest j I'I ~ ' g~
Ha~c Ranc~ Teir~porary Service
mompmuote Rep. Typa of Bnild'mg Applia~ces RireA E4+~+~nmant pired
Duplex Nlaler Heater Li~ti~ Fixtures
Apt Building Dryer ElecIIic Heaiin
Cmmercial Bldg. Furreoe Sito I.inloader
I~~.trial Bldg. Air Corditip~er Bulk M1Ailk Tank
an.. Inspectron fee Below
C Fea ServicaEnbancaSiza A Fee Faeil.rs/SuMeedera p Fee Circ.its
0 m200 Anq)s 0to 30 Oto 30Am
A6ove 200 A 31 m/00 Anvis 31 io 100 Aaq~
Swimming Pool A6ove 700_ A~ve 700_A
Transfom~ers Irri ian Boars V Panial.'OTher Fee
Signs Special Inspec[ion $ TOTAL FEE
Al
oa[e 1. tinseeDa pectim~ ( ~de.
lsis~apm[~ald 76omllu Oam
This requesl void55~ a5 • ~ ~ 'g~
18 momhs from
M0,94959 3
Faquest Da e Fire No. NouAh-in Insper,tion ~
o qu red? AeadY Nnw Will Notity Inspec-
~i 85 Yes ?No or When Feady
1 LiCensad Elecvical Contractor I hereby request inspectionot above •
Owner electrical work instellod et:
Street Adtlress, Box or Routep o. • Cify
//31a '64 avc..
ecL . ' an9e No. County
Occ t IPFWTI Phone No.
G Ya r7(540' ~93f~
Power $uDP~. Adtlress ~
Ua,~~ ~
Electr IComp3n Nam I Cnntrar,t r's License No.
7)614r - , G5~4 r9-3
Mailin8 Ad~ es ICenvacto Owner Maki g Instailationl
y; 7. "0 o,~ S~
Aut zed Sienat re (COntra o Ow Making Installa[ion) Phone Number
/ 61 - 3555
MINNESOTq STA eOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway dg. - Hoom N-191 BE ACCEPTED BY THE STA7E BOARO
7821 UnivarsitV Ave., St. Paul. MN 56104 UNlESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
a 5 REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-a
' See instruc[ions tor comOle<ing this form on back of Vellow copy,
I 'X" Below Work Cove10d by, This Request 9~ 26
Atl Rep. Type of euiltling - Appliancea N'ired ^ Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank
FBrm Other peci v 1her(5perf(y)
t er SPCw y t er Othtr
ompute lnspection Fee 8elow
# Fee ServiceEnfrenceSize # Fee Fenders/Sobfeeders.- M Fe 6 Circuits
/ 0 to 200 qm s- 0 to 30 Am s Z 0 to 30 An! s
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swinuning Pool Above 100_Amps Above 100_Amps
Transformer5 Irrigation Booms ~ Partial'Dther Fee
Signs Special Inspection $ Remarks TOTAL FE£
HouBh-in . Date ~ \
I.tha Elacirical
? ~'r-~~ Inspeclor, heraby
cer that the above
Final `~te ' spection has been
~J made.
thisreQuesimitll8monthsirom
CITY OF EAGAN No 10 7 g 7
, 3830 PiIM Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receiot #
T. y. aaad f. SF DWG/GAR Est. Va1ue $70,000 pOfe AUGUST 15 1985
SiteAddresa 1136 WESTBURY CIR Erect [a Occupenty R3
Lot 7 Block Z Sec/Sub. WESTBUR III Remadel ? 2oning Rl
Repair ? Type of Const. V
Parcel No. Addition ? No. Stwies
Name GRANO OAKS DEVELOPMENT CO Move ? Length SO Address
~ 1881 SUNRISE CT Demolish El Dapxh 48
Int Impr. ? Sq. Ft.
City EAGAN phone 452-8934 Inatall ?
O Name SAME , A'yyrov°H Fees
Addm9 Assessrrient Permit $ 343.00
1- City phane Water S Sew. Surcharga 35 _ 00
bPoliGe Plen Reviaw 1 71 _ S O
~uZ Name Ffrc SAC 525.00
'L9 Address Enp. weterConn. 500.00
Z. City Phona Plnnror WaterMetar 63.00
Council Roedllnit 280.00
I here6y a[krowledge fhat I have read this application ond state thaf Bidg. Off. 8 1 S 8 S Tc PI 13 2. 0 0
fha informotion is correct ond ogree to wmply wiih oll opplic ble APC Parks
$tata of Minnewro Statutes ond Ci of an Ord'nonces.
Var. Date Copies
Siprwturo of Permitt~ - 049.50
GRAND O S DEV LOPMENT CO rota~ $2.
A Building Permif is issued to• e on fhe ezpress condidon Ihot
oll work sholl be done in attordnnee wifh oll opp~iOeW ro of Min soro t es o, nd Ciry oi EaOOn Ordinoncea
Bufldinq Official l ~~~~Y'~>
7985 BUILDING PERHZT APPLICATION - CITY OF EAGAN
NO?E: 9LL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
~ CERTIFZCATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date:
site Address: , `A oeFic~ e use oNLx
Lot: ~ Block ~ Sect/Sub ~.-4, Erect )C Occupancy ~-3
Remodel Zoning (Z-1
Parcel II Repair ~ Type of Const _-7
Addition /I of Stories
Owner Move ' [,ength So
~ Demolish Depth q-8n
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit 3 43 ~
Water/Sewer Surcharge 35.
Address r~r Police Plan Review 11 I•$D
Fire SAC 525,=
City/Zip Code Engr Water Conn So~•°°
~5~~ Planner Water Meter rD3. °o
Phone Council Road Unit 2ao.`-°
Bldg OffQ-/S~sbTreatment Pl 1 32. ~
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ao q y• S~j
City/Zip Code
Phone S
7~ ti M~'~ 1 l~i~ i SSF ~yi ~ S ' ' .
j~,! Hfq~• r Vj~,J.k4r..
• • t~- ~~y`"'-Y a.~, . EXTER I OR ENVELQI~'~ A ~~E'~z" U`x L~ A
. ORANDF:pAKB''pE1fELbPMENT COMPAfdY''•r ~
, . t t e, y rn y~~ ~ A f ~i. 'S . . . . . . • . • .
y
. , ~MODEL AREA G IJ . U X AREA .
' r ~,w! f._ i'`µil? J .r. t • ' ' ' REQUIRED , p*
1. TOTAL WALL.'''AREA . ; 180d X . 11 198
. , ,
2. ` TOTAL, ROOF ARiA , :•.1l 96, X. 026 ' 31. 096 ACHIEVED r' ~ t #;,,ti' Y,y . ' •
AREA " U U X AREA
. A. WINDOW AREA~- ` . 166.66.; .5 93.33
B. DOOR AREA 077 . 3.0646
C. SI.IDE'DLA88'.AREA `13.44~,. ,r .48 6.4512
D. FIREPLACE1"AREA" h~ p 0. O.
E. WALL' FRAME.- AREA'' 180, .:.041 , 7.38
F. , NET WALL AREA 1164:1 . :.049 . 57.0409 •
0. RIM.-JOIST~AREA ^ 119.82'.1'.0436 5.211072 H. . FDUND WINDOW AREA k: • : 0 0 0 „
I. FOUND ABOVE ORADE 96.48.' .138 13.0248
3. TOTAL! WAL1. AREA.. , . 1800 185.5026
, 'z.." .
J. 8KYL Y TE 0-': p p
K:ROOF FRAME'`:' . 119.6 .032. ; 5.8272
L. 'NET Rt]OF AREA 1076.4 ' .'025 . ' ' 26.91
4. TOTAL ROOF AREA •'I 1196 ~ 30.7372 . ,
- - 8UM 1.+2.', 229.096
SUM 3.+4.:':~ , . 216.2398
. . ,
'
. '
~ ` ' , . ' ' . . ' . . . . . - .
'
~ SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0.
.
~
~
I
~
.
--rt--- DENOTES PROP05ED SUR,FACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH =.JO FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 5817, o FEE1'
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 884.i FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = SS 7•4 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 7, Block 2, WESTBURY 3RD ADDITION, according to the recorAed plat
thereof, Dakota County, Minnesota.
/1ND OF THE LaCATION OF A PROPOSED BUILDING. IT DOES NOT Pt1RPORT TO SHOW IMPROVEMENTS.
OR ENCROACHMENTS, If ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 157 DAY OF QvGusv , 1985.
PRO.POSED PROPERTY CORNER SIGNED: J . HILL, INC.
ELEVATIONS 4JERE TAKEN FROM
GRADING PLANS BY DELMAR H.
SCHSJANZ LAND SURVEVORS, INC.
REViseD e-is-as Y.
H OLD C. PETERSON, LAND SURVEYOR
• hiINNESOTA LICENSE N0: 12294
SHEET 1 OF 2 SHEETS
PROJECT NO. BooK ~ PaGE JAMES R. HILL, INC.
857(0it
;
P(anners / Engineers Surveyprs
FILE NO. 8200 Humboldt Arenue South!
FOLDER 8bomtngton, Mn. 55431 812-ee4-3029
_I .
. i '
-SURVEYOR'S, CERTIFICATE cRAND OAKS DEVELOPh1ENT C0.
5 \ ~ e69v~
.avo ,
N ~
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, I . O '4lOG \ Se
r~~~fr \ F2~
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' ( ) ) cn titi
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aD ~ Qsoo 1993.9)~,__~`
" u SED
(
N
ry /2B~/
~ ~ I ~y Gq~o !8$67)
f o~
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/ ~ " C88. _ .
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~ S~ . . • ~ ~01
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SHEET 2 OF 2 SHEETS
i PROJECT N0. BOOK / PAGE JAMES R. MILL, INC.
' . 8576't
. Planners / Engineers /.Surveyors
~ FILE N0. 8200 Humboldt Arenue South ,
~ FOLDER eloomln9ton, Ma 65431 612-e8473029
3d.7
o.~ z/a4
v t~' CITY OF EAGAN
'Vi~'~ / APPLICATION FOR PERMIT
SE[4ER AND/OR WATER CONNECTIOAT
(PLEASE PRIHT)
1) PF.OPIIYL'Y ADDRESS: /I s~P U Y4 r_Fr3,I, DESC2I°TZC:I:
(Int/31ock/Suc)division or Tax Parcel I.D. N r)
:G 517RL'CTr"tE, DAT' G=' CRIGi.:AL EiiIZ:S^iG PE:;.S"• IcSZ::~,_NCE:
f Pi.S4' _^`.I1_F;/F:~C°CS^, zS=_ B R-1 S2,IGL.S cp~%a-?.y ' J- •
? R-2 DLTPLEX ('?T,~O LNITS)
? R-3 ZCs.v1lICiJSE (TFL2F" + UVITS) ( LNImc)
[I R-d P~pAR7=:?'/MLIDCtLv'IL7~I ( LNITSi
? COt~..?~C2AI,/RETAII,/OFFICE
? I~i'DUSiRIAL
? INSTIT[PI'IONAL/GCVE.4i\.^1Ev'T
2) APPLICP?iT . (PLEASE PRIYi) . .
, r~,r~: G ry v~c~ Oa ~S
rDDREss:
CIT:, STATE, ZIP: ~nh
PHOTNE:
3) P~~mEm ~l~• ~ ~ (NLEASE PR1NT) ~ FOR CITY US£ ONLY
PLUM CENS :
ADDRE55: [n J U C Y e fk L, U h
ACtiv
CITY, STATE, ZIP: red
a f Re rd
- PHOiVE7 J~ PLUMBER LICENSE $
r nitia
4) O=ANT/CI$I7_2 NF1ME (PLEASEPFINT)
:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDIG.'PG WHICIi PEPMIT IS BEING RFX2UESTEM:
~ CC:~2"1F.CI'ION 2O CITY Sa1ER
~ CCNVF:CPION TO CITY <<TpTER ? OT'fER (PLEASE DESCRIBE)
6) Lti'DIG`,TE C:z:
? PL.:\SE E:OID APPROVFa pgLy1ST FOR PICi:-UP BY O:VE OF ABWg
PLEaSE tiAZL APPRO`,c"D PER;,IIT 2n 1. 2. 9P, 4 ABWE
- ?0 " ~ 1 (Ci,;cle one)
, , . 7) siC.a=RE: naz'e: 4
.
~ _
F O R C I T Y U S E O N L Y PER'NIT ISSUED
F°ES: $ Sr,,;Eq n~o~iri (I_`ICL:;D: SliRCg"('^j
- r.
$ WATER PERf1IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSID; REaDE3
$ WATER TAP (INCLUDE CORPCRATT0N
S:CP)
$ SE:JE.-'~, mLo
$ ZS-va ACCOUNT GEPOSIT - SE-NER
$ /S o L' ACCOUNT DEPOSIT - WATER
$ W-aci WAC
$ SAC
$ TRUNR WAT°.°. ASSFS52-IE:IT
$ TRliNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRU\K SES9ER
$ LATERAL BENEFIT/TR NK WATER
$ OTHER
F
$ TOTAL
$ ADIOUNT PAID/RECEIPT #
DOES UTILIT'I CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORX WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
1777__..NO ELVGINEERING DIVISION. LIST AS A CONDI-
TION.
. SUBJECT TO TIIE FOLLO;^7ING CONDITIONS:
APPROVED BY: ~
TITLE:
DATE :
06=M MtW w M 96 W=W wfd w.a wtM w EM :w sM ta rt = io w.i+ Ptm atow Aa ip i+ so m
602,-r2/ MECHANICAL (RESIDENTIAL) ~,3Q
Permit AppGcation
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 07 / G-3
Site Address Cs, r Unit #
Property Owner CSD ~ Telephone # ((~j
Contractor N9
Street Address P 4._P9-c 4(_'55 cicy
State Zip `l~F~~ Telephone #(~QJ/
The Applicant is _ Owner _ Contractor Other
Add-on, modif cation or alteration to eaisting dwelling unit $ 30.00
furnace replacement .
~ air exchanger '
air conditioner
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Pemvt and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernilt, but only an applicatlon for a pernvt, and work is not to start without a pernilt; that the work will be in accordance with the
approved plan in ffie case of work which requues a review and approval of plans.
~L~c~(V•. V~2pru '
ApplicanYs Printed Name ~ Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3530 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/indusfial buildings
multi-family buildings when separate permits are not required for each dwetling unit
Date
Site Address Unit #
Tenant Name (if appticable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
PBim1t F¢¢ $50.50 Mimimum Fee (includes State Surcharge)
ContractValue $ x 1% _ $ PernutFee
• If permit fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$ 1,000 Pemrit Fee
$ Total Fee
I herehy apply for a Couunercial Mechanical Perntit and acknowledge [hat the information is comple[e and accurate; that [he work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is
not a permit, but only an application for a permit, and work is not m start without a pemut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name i Applicant's Signature
Approved By: , Inspector Date:
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*City oid'akau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Ccd ipeAn
6c)) 76.9-741C1,
.(c r pay
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
i
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: V '1 1 LI Site Address: 113 & Vesr/ b v fl
Tenant: Ptt -fr 'c k t i-, Co t� � �e r�
Suite #:'
A/*
J
Resident/Owner
k�//��
Name: Pel �r G IJG ✓ / N Phone:
Address / City / Zip: 113 (o 14-)e500 Ur c2 ',C f e , - J I/Yl 4
Contractor
Name: 14-0 -Pro-Pcfii. Re5.1`. I't 7 r i en
�(B/'GY� Licens
Address: 5F%C) me -,orf'4 I. Or/i t` City: 544I civQ,.gtpr--
I
State: inn Zip: C5-6 1Phone: (-i) 9 3 7 5-7 , C'j
Contact: Cleict ✓' I e5 Pe 1+0,1 Email: Cal pe I i'ava € Cb vet G'5/`,. die J`•
Type of Work
New X Replacement Additional Alteration Demolition
Description of work: 4- 1 S ii ) / FileiZP'A 6, 5 Pt.) r ile
I
NOTE: Roof mounted and ground mounted mechanical equipment is required Ito be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
A. Furnace
Air Conditioner
Air Exchanger
COMMERCIAL
New Construction interior Improvement
Install Piping Processed
Gas Exteribr HVAC Unit
_
Heat Pump
Under/Above ground Tank L._ Install / Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit (includes $5.00 State Surcharge)
$5.00 State Surcharge) _ $ 60°49-
i TOTAL FEE
$100.00 Residential New (includes
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
if contract value is LESS than $10,010, Surcharge = $5.00
""If contract value is GREATER than $10,010, Surcharge = Contract
"*"If the project valuation is over $1 million, please call for Surcharge
Contract value $ x .01
= $ Permit Fee
_
— $ Surcharge"
Value x $0.0005
$ TOTAL FEE
I hereby acknowledge that th�5 information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Notr tf' R t+C)11
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
Applicant's Signature
Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final ! HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130722
Date Issued:05/11/2015
Permit Category:ePermit
Site Address: 1136 Westbury Cir
Lot:007 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick W Barry
1136 Westbury Cir
Eagan MN 55123
(651) 456-0292
Window World AKA Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173509
Date Issued:11/15/2021
Permit Category:ePermit
Site Address: 1136 Westbury Cir
Lot:007 Block: 002 Addition: Westbury 3rd
PID:10-83652-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick W Barry
1136 Westbury Cir
Eagan MN 55123--146
(952) 345-1956
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature